Defining And Measuring Quality Of Care

DOWNLOAD

Download Defining And Measuring Quality Of Care PDF/ePub or read online books in Mobi eBooks. Click Download or Read Online button to get Defining And Measuring Quality Of Care book now. This website allows unlimited access to, at the time of writing, more than 1.5 million titles, including hundreds of thousands of titles in various foreign languages. If the content not found or just blank you must refresh this page

Defining And Measuring Quality Of Care

DOWNLOAD
Author : Robert Henry Brook
language : en
Publisher:
Release Date : 2000

Defining And Measuring Quality Of Care written by Robert Henry Brook and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2000 with Health care reform categories.

procedure. The patient should verify the responses. Answers from patients should be combined with test results and other information obtained from the patient's physician to produce an assessment of the procedure's appropriateness and necessity. Advanced tools to assess quality, based on data from the patient and medical records, are also currently being developed. These tools could be used to comprehensively assess the quality of primary care across multiple conditions at the country, regional, and medical group level.

Measuring The Quality Of Health Care

DOWNLOAD
Author : The National Roundtable on Health Care Quality
language : en
Publisher: National Academies Press
Release Date : 1999-02-23

Measuring The Quality Of Health Care written by The National Roundtable on Health Care Quality and has been published by National Academies Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 1999-02-23 with Medical categories.

The National Roundtable on Health Care Quality was established in 1995 by the Institute of Medicine. The Roundtable consists of experts formally appointed through procedures of the National Research Council (NRC) who represent both public and private-sector perspectives and appropriate areas of substantive expertise (not organizations). From the public sector, heads of appropriate Federal agencies serve. It offers a unique, nonadversarial environment to explore ongoing rapid changes in the medical marketplace and the implications of these changes for the quality of health and health care in this nation. The Roundtable has a liaison panel focused on quality of care in managed care organizations. The Roundtable convenes nationally prominent representatives of the private and public sector (regional, state and federal), academia, patients, and the health media to analyze unfolding issues concerning quality, to hold workshops and commission papers on significant topics, and when appropriate, to produce periodic statements for the nation on quality of care matters. By providing a structured opportunity for regular communication and interaction, the Roundtable fosters candid discussion among individuals who represent various sides of a given issue.

Improving Healthcare Quality In Europe Characteristics Effectiveness And Implementation Of Different Strategies

DOWNLOAD
Author : OECD
language : en
Publisher: OECD Publishing
Release Date : 2019-10-17

Improving Healthcare Quality In Europe Characteristics Effectiveness And Implementation Of Different Strategies written by OECD and has been published by OECD Publishing this book supported file pdf, txt, epub, kindle and other format this book has been release on 2019-10-17 with categories.

This volume, developed by the Observatory together with OECD, provides an overall conceptual framework for understanding and applying strategies aimed at improving quality of care. Crucially, it summarizes available evidence on different quality strategies and provides recommendations for their implementation. This book is intended to help policy-makers to understand concepts of quality and to support them to evaluate single strategies and combinations of strategies.

Quality Indicators

DOWNLOAD
Author : American Psychiatric Association
language : en
Publisher: American Psychiatric Pub
Release Date : 2008-08-13

Quality Indicators written by American Psychiatric Association and has been published by American Psychiatric Pub this book supported file pdf, txt, epub, kindle and other format this book has been release on 2008-08-13 with Medical categories.

The past decade has witnessed remarkable growth in the field of quality measurement in health care. Today's patients want to know that the care they receive is safe, effective, and accessible. This compelling monograph combines -- for the first time -- the reports from two American Psychiatric Association task forces on quality in psychiatric care (March 1999, which focused on adults, and October 2001, which focused on children and adolescents), offering a clinical framework for quality measurement that provides sample indicators of quality for health plans, facilities, and systems of care. Using similar formats and definitions, each task force considered a matrix of priority areas of care, including specific patient populations (e.g., elderly, seriously and persistently mentally ill, developmentally disabled people) and diagnostic categories (e.g., depressive disorder, schizophrenia, substance use disorders). Each then examined important aspects of patient care and constructed a quality framework that included dimensions of access, quality (appropriateness of care), perception of care (satisfaction), outcome, and -- for the children's report -- prevention. Each task force also considered relevant methodological issues: cultural, linguistic, and ethnic differences; data collection and tracking; confidentiality of data; risk adjustment; use of rating scales and standardized instruments; and designation of standards. Sample recommended goals include For adults: patients with serious and persistent mental illness should have access to newer generations of antipsychotic medications as these become available; patients should achieve a significant reduction in symptom. For children and adolescents: the mental health status of children and adolescents should be assessed annually; children with severe or persistent mental illness whose care involves multiple child-serving systems, caregivers, and service providers should have their care coordinated Sample indicators include For adults: utilization of new antipsychotics for patients with the diagnosis of schizophrenia; reduction in frequency of panic attacks in patients with the diagnosis of panic disorder For children and adolescents: high levels of satisfaction of adolescents using mental health services or substance abuse services; reduction in a family's stress level and impact of illness As the initial step in what must be an evolving effort by clinicians to define, measure, report, and improve the care that patients and their families receive, this monograph is essential reading for those who provide and receive care, accredit and regulate care, and purchase and administer clinical services. Purchasers of mental health care want clear, reliable, meaningful, and comparable information on what care is provided and with what results. APA convened these two task forces to lend its professional expertise to that issue, to advise on how to develop clinically based, patient focused quality indicators that use existing and ongoing research and clinical consensus in selecting potential indicators.

Defining And Measuring Quality

DOWNLOAD
Author : Pia Caronongan
language : en
Publisher:
Release Date : 2011

Defining And Measuring Quality written by Pia Caronongan and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2011 with categories.

Quality measurement serves as a foundation for child care Quality Rating and Improvement Systems (QRIS). Understanding the variation that exists in quality measurement, the different contexts in which states make decisions, and the factors that play into their decisions can help administrators identify where their state may fall along the spectrum in practice (or the direction in which they should steer), and can help researchers design approaches that take these differences into account. Such information can also aid in identifying opportunities for moving toward some common practice and research goals. The quality components included in a QRIS define a state's framework for measuring quality and signal to providers and parents the practices that should be included in high-quality early child care and education programs. There are commonalities in the quality categories that are included across QRIS (Tout et al. 2010), demonstrating that many states and communities are using a similar foundation upon which to build their rating systems. However, the manner in which states and localities combine and aggregate these quality categories to develop QRIS ratings has many nuances, producing rating systems with important variations that can impede direct cross-QRIS comparisons and research approaches. Recognizing the need for information on the quality measurement practices in QRIS, this in-depth study of select QRIS was launched as part of the Child Care Quality Rating Systems (QRS) Assessment project, funded by the Office of Planning, Research, and Evaluation (OPRE) within the Administration for Children and Families. Approaches used by states and communities to measure quality through the QRIS were examined by focusing on three research questions: (1) What is the variation in how select QRIS define and measure quality, and what accounts for the variation in their approaches?; (2) What are the specific processes used by select QRIS to measure each component of the quality rating and determine the overall rating level?; and (3) What is the availability of consistent and reliable data on quality ratings within select QRIS and how are the data currently being used? To answer these questions, five QRIS were selected for the in-depth study: Miami-Dade County, Florida; Illinois; Indiana; Pennsylvania; and Tennessee. A summary of key characteristics of the five QRIS is presented. Licensing and NAEYC Accreditation Requirements for Center-Based Programs are appended.

Quality

DOWNLOAD
Author : Ivan Barofsky
language : en
Publisher: Springer Science & Business Media
Release Date : 2011-10-02

Quality written by Ivan Barofsky and has been published by Springer Science & Business Media this book supported file pdf, txt, epub, kindle and other format this book has been release on 2011-10-02 with Medical categories.

Quality, as exemplified by Quality-of-life (QoL) assessment, is frequently discussed among health care professionals and often invoked as a goal for improvement, but somehow rarely defined, even as it is regularly assessed. It is understood that some medical patients have a better QoL than others, but should the QoL achieved be compared to an ideal state, or is it too personal and subjective to gauge? Can a better understanding of the concept help health care systems deliver services more effectively? Is QoL worth measuring at all? Integrating concepts from psychology, philosophy, neurocognition, and linguistics, this book attempts to answer these complex questions. It also breaks down the cognitive-linguistic components that comprise the judgment of quality, including description, evaluation, and valuations, and applies them to issues specific to individuals with chronic medical illness. In this context, quality/QoL assessment becomes an essential contributor to ethical practice, a critical step towards improving the nature of social interactions. The author considers linear, non-linear, and complexity-based models in analyzing key methodology and content issues in health-related QoL assessment. This book is certain to stimulate debate in the research and scientific communities. Its forward-looking perspective takes great strides toward promoting a common cognitive-linguistic model of how the judgment of quality occurs, thereby contributing important conceptual and empirical tools to its varied applications, including QoL assessment.

Measuring Quality Improvement In Healthcare

DOWNLOAD
Author : Raymond G. Carey
language : en
Publisher: Quality Press
Release Date : 2001-09-25

Measuring Quality Improvement In Healthcare written by Raymond G. Carey and has been published by Quality Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2001-09-25 with Health & Fitness categories.

This ground-breaking book addresses the critical, growing need among health care administrators and practitioners to measure the effectiveness of quality improvement efforts. Written by respected healthcare quality professionals, Measuring Quality Improvement in Healthcare covers practical applications of the tools and techniques of statistical process control (SPC), including control charts, in healthcare settings. The authors' straightforward discussions of data collection, variation, and process improvement set the context for the use and interpretation of control charts. Their approach incorporates "the voice of the customer" as a key element driving the improvement processes and outcomes. The core of the book is a set of 12 case studies that show how to apply statistical thinking to health care process, and when and how to use different types of control charts. The practical, down-to-earth orientation of the book makes it accessible to a wide readership. "Only authors who have used statistics and control charts to solve real-world healthcare problems could have written a book so practical and timely." - Barry S. Bader, Publisher The Quality Letter for Healthcare Leaders "Many clinicians and other healthcare leaders underestimate the great contributions that better statistical thinking could make toward reducing costs and improving outcomes. This fascinating and timely book is a fine guide for getting started." - Donald M. Berwick, M.D. President and CEO, Institute for Healthcare Improvement Associate Professor of Pediatrics, Harvard Medical School Contents: Planning Your CQI Journey, Preparing to Collect Data, Data Collection, Understanding Variation, Using Run and Control Charts to Analyze Process Variation, Control Chart Case Studies, Developing Improvement Strategies, Using Patient Surveys for CQI, Formulas for Calculating Control Limits

Quality Indicators

DOWNLOAD
Author : APA Task Force on Quality Indicators
language : en
Publisher:
Release Date : 2002

Quality Indicators written by APA Task Force on Quality Indicators and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2002 with categories.

Medicare

DOWNLOAD
Author : Institute of Medicine
language : en
Publisher: National Academies Press
Release Date : 1990-02-01

Medicare written by Institute of Medicine and has been published by National Academies Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 1990-02-01 with Medical categories.

Health care for the elderly American is among our nation's more pressing social issues. Our society wishes to ensure quality health care for all older people, but there is growing concern about our ability to maintain and improve quality in the face of efforts to contain health care costs. Medicare: A Strategy for Quality Assurance answers the U.S. Congress' call for the Institute of Medicine to design a strategic plan for assessing and assuring the quality of medical care for the elderly. This book presents a proposed strategic plan for improving quality assurance in the Medicare program, along with steps and timetables for implementing the plan by the year 2000 and the 10 recommendations for action by Congress. The book explores quality of careâ€"how it is defined, measured, and improvedâ€"and reviews different types of quality problems. Major issues that affect approaches to assessing and assuring quality are examined. Medicare: A Strategy for Quality Assurance will be immediately useful to a wide audience, including policymakers, health administrators, individual providers, specialists in issues of the older American, researchers, educators, and students.

Re Defining Healthcare Quality Metrics Protocols And The Restructuring Of Care Delivery

DOWNLOAD
Author : Rosalie Winslow
language : en
Publisher:
Release Date : 2020

Re Defining Healthcare Quality Metrics Protocols And The Restructuring Of Care Delivery written by Rosalie Winslow and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2020 with categories.

Healthcare organizations in the United States are increasingly evaluated by systems that link quality measurement with regulatory and payment approaches. Operationalized through quality measurement, quality is affirmed as the basis for improving healthcare processes, outcomes, and health systems broadly. At the same time, electronic health record (EHR) and other information technology (IT) systems aimed to make care safer and more efficient, have become standard tools in healthcare settings. Galvanized by these technical advancements, quality metrics are considered crucial components of ensuring accountability for improved health outcomes and care equity.This dissertation aims to understand healthcare quality measurement by investigating how systems of quality measurement are implemented in clinical spaces, particularly how they structure care delivery and define quality. This dissertation offers a qualitative study of the organizational and structural elements of quality and quality measurement. I conducted ethnographic observation (15 months) and interviews (n=31) at a 600-bed, acute-care hospital in New York City, which I call Borough Hospital. My analysis utilizes the accounts of healthcare clinicians and administrators, and their experiences navigating care delivery and quality in their hospital. Through this analysis, I investigate the variable meanings of quality, processes of measuring quality, and the conditions under which care is delivered at Borough Hospital. Using the qualitative analytic methods of grounded theory and situational analysis, I deconstruct the ways in which quality and quality measurement are constructed as neutral and inevitable, how care delivery is increasingly protocolized to ensure quality, and the ensuing distancing of quality care away from the bedside. Meeting and complying with quality metrics require specific clinical care protocols and extensive documentation for reporting. These new requirements have changed the roles and responsibilities of frontline clinicians, shifting the organization of labor in the clinic. I argue that measurement-based, clinical protocols that rely on surveillance and abstracted documentation data increasingly standardize processes of quality care and distance care-that is, clinician labor- away from the bedside. The findings of this dissertation suggest a tendency toward protocolization and narrowing definitions of quality, which can be extended into other hospital systems particularly in light of widespread consolidation. I argue that administrative prioritization of quality measurement, and in particular quality metrics, necessitates the protocolization of complex healthcare processes and increasingly relies on data-driven decision-making. Ultimately, I suggest quality care has been (re)defined by measurement-based, clinical protocols, which I call abstracted surveillance protocols, that increasingly standardize and constrain care delivery.